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[CPAP] New to CPAP - Where Do I Start?
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #11
RE: New to CPAP - Where Do I Start?
(12-17-2012 04:20 PM)USKiwi Wrote:  Thanks Thank you for all your replies. I got the call from the DME this afternoon and I blasted them with questions. I have an appointment for next week at their office. I found out my insurance covers 100%. I looked on the DME website and they do have the machines you have all recommended and the customer service rep says I have the choice of machine and equipment up to $1500 covered by insurance and any more I pay myself. Now its time to do research Coffee

It's very likely they're trying to screw you.

Normally, if the DME is "in network," they're required to provide you a CPAP machine at a fixed price and CANNOT charge you more no matter what machine they dispense, per their contract with the insurance company. However, they do not have to give you a machine better than the minimum machine required to fill your prescription.

Some insurance companies do it differently.

Find out from your insurance which local DMEs are "in network" for your insurance. You get to choose the DME, not your doctor. If DME #1 won't give you a good machine, call DME #2 and let them know you're shopping around.

Read all the stuff here: http://maskarrayed.wordpress.com/what-yo...me-part-i/
and
http://maskarrayed.wordpress.com

If it's midnight and a DME tells you it's dark outside, go check for yourself.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
12-19-2012 06:58 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #12
RE: New to CPAP - Where Do I Start?
(12-19-2012 06:58 PM)archangle Wrote:  It's very likely they're trying to screw you.

C'mon. Up to $1500 for a CPAP! That sounds like a sweet deal to me. Unless, that is, they are marking their prices WAY up.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-19-2012 07:29 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #13
RE: New to CPAP - Where Do I Start?
(12-19-2012 07:29 PM)Sleepster Wrote:  
(12-19-2012 06:58 PM)archangle Wrote:  It's very likely they're trying to screw you.

C'mon. Up to $1500 for a CPAP! That sounds like a sweet deal to me. Unless, that is, they are marking their prices WAY up.
USKiwi wrote: I have the choice of machine and equipment up to $1500 covered by insurance and any more I pay myself
12-19-2012 07:51 PM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #14
RE: New to CPAP - Where Do I Start?
(12-19-2012 07:29 PM)Sleepster Wrote:  
(12-19-2012 06:58 PM)archangle Wrote:  It's very likely they're trying to screw you.

C'mon. Up to $1500 for a CPAP! That sounds like a sweet deal to me. Unless, that is, they are marking their prices WAY up.

Lots of DMEs charge a lot more than $1500 for a CPAP. Especially their "fantasy" billing price before insurance knocks it down to a negotiated price.

Then 2x the online price for the humidifier and mask.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
12-19-2012 08:08 PM
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USKiwi Offline

Members

Posts: 16
Joined: Dec 2012

Machine: ResMed S9 Elite
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX for Her
Humidifier: H5i
CPAP Pressure: 11
CPAP Software: ResScan

Other Comments:

Sex: Female
Location: Miami, FL

Post: #15
RE: New to CPAP - Where Do I Start?
Happy New Year. I got my CPAP machine. I have the ResMed S9 Elite. I'm still getting used to it. Last night was the first night that I didn't have problems falling asleep.
01-02-2013 10:13 AM
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SuperSleeper Offline

Administrators

Posts: 9,973
Joined: Feb 2012

Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #16
RE: New to CPAP - Where Do I Start?
(01-02-2013 10:13 AM)USKiwi Wrote:  Happy New Year. I got my CPAP machine. I have the ResMed S9 Elite.

Congrats! Make sure you enter your new machine info in your profile, click HERE to update, then make sure and hit "Update Profile" at the bottom of the screen.

After a few days, let us know how you like the S9 Elite!

Coffee

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.

01-02-2013 11:33 AM
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